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  • Title: Status of fertility control in Egypt.
    Author: Hefnawi FI.
    Journal: Popul Sci; 1982; (3):29-33. PubMed ID: 12266215.
    Abstract:
    The concern for fertility control is not alien to the cultural and religious heritage of Egypt. Historically, Egyptian interest in fertility dates to the Pharoahs. Contraceptive recipes written at least 15-18 centuries B.C. have been found. Romans may have borrowed some of the more effective methods from Egypt when it became part of the Roman Empire as evidenced by the decline in size of aristocratic Roman families at the beginning of the Christian era. Muslim conquerors of Egypt encouraged fertility control. In the 9th century differences of opinion about the legality of contraception appeared among the interpreters of Islamic law. Some methods found in the writings of Muslim doctors as al-Razi and Avicenna still survive in the folk medicine of Egypt. In modern times use of barrier methods of contraception were encouraged by family planning organizations in Egypt. The medical profession was not deeply involved since these methods did not require much medical assistance. In 1936 a religiouss verdict declared contraception to be a lawful act of Islam. National programs in family planning in the 1960's encouraged the use of the Lippes Loop IUD. The medical problem of blood loss associated with the IUD caused anxiety because of the high incidence of anemia in the female Egyptian population. There was also a cultural limitation on the wide use of the IUD. "Spotting" due to the IUD resulted in females being ritually unclean and therefore unfit to pray or observe the Islamic fast. The Pill, initially favored caused complications due to its effect on breast milk which is the universal source of nutrition for infants in Egypt. Replacement of the Pill by depo-provera injections during the post partum period of lactation is a practical solution. Permanent sterilization is limited to females and only performed when medically indicated. Abortion is illegal and permitted only as a therapeutic measure.
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